Tagged / midwifery

Nepal maternity care paper online yesterday

international, open access, Publishing, Women's Academic Network, writing

Yesterday the international journal PLoS ONE published the latest paper of former Centre for Midwifery & Women’s Health (CMWH) PhD student Dr. Sulochana Dhakal-Rai [1].  As in many countries, Caesarean Section (CS) rates are rising in urban hospitals in Nepal. However, the reasons behind these rising rates are poorly understood. Therefore, this study explores factors contributing to rising CS rates in two urban hospitals as well as strategies to make a more rational use of CS.  Dr. Dhakal-Rai was supervised by Dr. Juliet Wood, Dr. Pramod Regmi and Prof. Edwin van Teijlingen all based in the Faculty of Health & Social Sciences.

The paper highlights that high CS rates in the private hospital reflects the medicalisation of childbirth, a public health issue which needs to be urgently addressed for the health benefits of both mother and baby. Multiple factors affecting rising CS rates were identified in urban hospitals. This study provides insights into factors affecting the rising CS rate and suggests that multiple strategies are required to stem the rise of CS rates and to make rational use of CS in urban hospitals.

The journal is Open Access and the paper is freely available to read in Nepal (and elsewhere) for anyone with internet access.

 

Reference:

  1. Dhakal Rai S, van Teijlingen E, Regmi PR, Wood J, Dangal G, Dhakal KB (2025) Explaining rising caesarean section rates in urban Nepal: A mixed-methods study. PLoS ONE 20(2): e0318489. https://doi.org/10.1371/journal.pone.0318489

Consider starting M.Res. at Bournemouth University

NHS, PG research, student research

Bournemouth University is delighted to be working with UWE Bristol as one of the NIHR INSIGHT hosts providing funded postgraduate M.Res. research training for health and social care professionals.  BU provides excellent training, development, and teaching for the postgraduate community across disciplinary and interdisciplinary research fields.

The National Institute for Health and Care Research (NIHR) INSIGHT programme is a unique opportunity designed to inspire and equip the next generation of health and social care researchers. As part of its commitment to fostering a world-class research workforce, the NIHR INSIGHT programme offers a transformative experience with numerous benefits:

  • Exposure to Research Opportunities: Gain invaluable insight into health and social care research.
  • Hands-On Experience: Engage directly with researchers and practitioners, acquiring real-world skills.
  • Mentorship: Receive guidance from experienced professionals, helping to shape your research career and development.
If you are health or social care professional you may want to have a look at the experience of midwifery researcher and current M.Res. student Susara Blunden (click here!).   For a more informal discussion email INSIGHTSWCC@bournemouth.ac.uk
Applications Open until 31st March 2025 (for September 2025 entry).
Links: – NIHR INSIGHT Programme for the South West Central Collaboration

New PhD publication on Caesarean Section

international, PG research, Publishing, Women's Academic Network, writing

Congratulations to Dr. Soluchana Dhakal-Rai whose latest research paper ‘Explaining rising caesarean section rates in urban Nepal: A mixed-methods study’ has been accepted today by the international journal PLOS One [1].  Sulochana graduated last November with a Ph.D. from Bournemouth University; photo shows her with the BU-based supervisors: Dr. Juliet Wood, Dr. Pramod Regmi and Prof. Edwin van Teijlingen. 

Sulochana has been very productive in terms of publications based on her Ph.D., as this is the seventh paper based on her research! She published six previous papers [1-6], in addition during her time as BU Ph.D. student Sulochana also contributed to a book chapter [8[ as part of the textbook Academic Writing and Publishing in Health & Social Sciences.

 

Prof. Edwin van Teijlingen

 

 

 

 

 

References:

  1. Dhakal Rai, S., van Teijlingen, E., Regmi, P.R., Wood, J., Dangal, G., Dhakal, K.B. 2025 Explaining rising caesarean section rates in urban Nepal: A mixed-methods study, PLOS One (Accepted).
  2. Dhakal-Rai, S, van Teijlingen E, Regmi,PR, Wood J, Dangal G, Dhakal KB. (2022) Factors contributing to rising cesarean section rates in South Asian countries: A systematic review, Asian J Med Sci 13(2): 143-174.
  3. Dhakal-Rai, S, van Teijlingen E, Regmi,PR, Wood J, Dangal G, Dhakal KB. (2021) Caesarean Section for Non-medical Reasons: A Rising Public Health Issue. J Karnali Acad Health Sci 2021;4(2)
  4. Dhakal-Rai, S., van Teijlingen, E., Regmi, P., Wood, J., Dangal, G., Dhakal, K.B. (2021) A brief history and indications for cesarean section. J Patan Acad Health Sci, 8: e1-e10.
  5. Dhakal-Rai, S., van Teijlingen, E, Regmi, P, Wood, J, Dangal, G, Dhakal, KB. (2021) Classification of Caesarean Section: A Scoping Review of the Robson classification. Nep J Obstet Gynecol. 16(32):2-9.
  6. Dhakal-Rai, S., Regmi, PR, van Teijlingen, E, Wood, J., Dangal G, Dhakal, KB. (2018) Rising Rate of Caesarean Section in Urban Nepal, J Nepal Health Res Council 16(41): 479-80.
  7. Dhakal Rai, S., Poobalan, A., Jan, R., Bogren, M., Wood, J., Dangal, G., Regmi, P., van Teijlingen, E., Dhakal, K.B., Badar, S.J., Shahid, F. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? J Asian Midwives, 6(2):4–22.
  8. van Teijlingen, E., Ireland, J., Hundley, V, Dhakal Rai, S., Simkhada, P., Sathian, B. (2022) Identifying an appropriate Title, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 39-47.

 

New editorial Journal of Asian Midwives

international, open access, Publishing, writing

This weekend a new issue of the Journal of Asian Midwives appeared online [1].  Its latest editorial focuses in part on research ethics.  The editors highlight the new World Health Organization (WHO) guidance for best practices in clinical trials [2].  The new WHO guidance was picked up at the 24th FERCAP International Conference “Maximizing Benefits through Responsible Conduct of Research” held in November 2024 in Nepal.  FERCAP is the Forum for Ethical Review Committees in the Asian and Western Pacific Region.

FERCAP reminded us that research as a social activity should improve health and quality of life for both targeted and general populations.  One notable message from this recent conference was the need for shorter and more comprehensible consent forms to make them user-friendly without sacrificing clarity. The other interesting development is that of so-called “decentralized clinical trials”. Decentralized or point-of-care trials can increase the diversity of clinical trial enrollment by increasing its accessibility, for example where elements of the trial are delivered at home and/or data are collected electronically by trial participants instead of researchers. These are exciting new developments in thinking about research ethics.

The Journal of Asian Midwives is Gold Open Access and hence freely available online.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. van Teijlingen, E., Musaddique, A.,  Jan, R. (2024) Editorial – Dec 2024. Journal of Asian Midwives, 11(2):1–2.
  2. World Health Organization (2024). Guidance for best practices for clinical trials. World Health Organization. https://www.who.int/publications/i/item/9789240097711 (accessed Jan. 2025)

Two new BU midwifery publications

international, open access, writing

This past week, as part of her work with McMaster University in Canada, Bournemouth University’s (BU) Centre for Midwifery & Women’s Health (CMWH) postgraduate PhD student Joanne Rack published a paper in BMJ Open.  This Open Access paper explores the strengths and weaknesses of midwifery research in Canada [1].  Joanne is currently doing a Clinical Doctorate in the  specialising in personalised care for women of advanced maternal age.  This PhD study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU].  Her PhD is supervised and supported by Professors Vanora Hundley and Edwin van Teijlingen in CMWH, Prof. Ann Luce, deputy dean in BU’s Department of Communication & Journalism as well as Dr. Latha Vinayakarao in Poole Maternity Hospital.

The second midwifery paper ‘Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal‘, which is also Open Access, has a different international focus, this time on Nepal [2].  The paper is co-authored by Dr. Preeti Mahato and Prof. Edwin van Teijlingen.  Dr. Preeti Mahato, formerly in BU’s Faculty of Health & Social Sciences, is currently based at Royal Holloway, University of London.

 

 

 

 

References:

  1. Ruby, E., Brunton, G., Rack, J., et al. (2024). Exploring the landscape of Canadian midwifery research: strengths, gaps and priorities – results of a scoping review. BMJ Open 14:e087698. doi:10.1136/bmjopen-2024-087698
  2. Mahato, P.,  van Teijlingen, E. (2024). Importance of Expanding Midwifery-led Units and Midwifery Care in Reducing Maternal Deaths in Nepal. Europasian Journal of Medical Sciences 6(1). https://doi.org/10.46405/ejms.v6i1.537

Appreciating Appreciative Inquiry

international, Publishing, Women's Academic Network, writing

Prof. Gabriele Bammer, the editor of the i2Insights blogs, highlighted in her ninth annual review that a post created by Bournemouth University academics was one of the website’s  most popular contributions in 2024.  This BU contribution ‘Learning to use Appreciative Inquiry‘ by Dr. Rachel Arnold is in the top eight most viewed this year – in fact it’s the second most viewed blog!

Dr. Rachel Arnold has been lead author on several research papers in the field of Appreciative Inquiry [1-2], in collaboration with current and former Bournemouth Academics, Professor Emerita Sue Way, Dr. Preeto Mahato (now at Royal Holloway, University of London) and Prof. Edwin van Teijlingen.   Rachel has also been a contributor to a major textbook in the field [3-4].

References:

  1. Arnold, R., Way, S., Mahato, P., van Teijlingen, E. (2024) “I might have cried in the changing room, but I still went to work”. Maternity staff managing roles, responsibilities, and emotions of work and home during COVID-19: an Appreciative Inquiry, Women & Birth 37: 128-136. 
  2. Arnold, R., Gordon, C., Way, S., Mahato, P., van Teijlingen, E. (2022) Why use Appreciative Inquiry? Lessons learned during COVID-19 in a UK maternity service, European Journal of Midwifery 6 (May): 1-7.
  3. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024a)  Appreciating Health and Care: A practical Appreciative Inquiry resource for the Health and Social Care sector, Forres: Appreciating People; ISBN: 978-1-9160267-6-6
  4. Hodgkiss, D., Quinney, S., Slack, T., Barnett, K., Howells, B. (2024b) Appreciating Health and Care: AI in practice, Forres: Appreciating People.

 

BU academics’ paper read 170,000 times!

NHS, Publishing, Training, Women's Academic Network, writing

This week ResearchGate notified us that our methods paper ‘The Importance of Pilot Studies‘ [1], published 22 years ago in The Nursing Standard, has now been read 170,000 times!  Prof. Vanora Hundley and Prof. Edwin van Teijlingen wrote this more elementary paper after  publishing an in-depth academic paper on a pilot study into assessing  maternity care in Scotland [2].  The latter paper described their learning from a pilot study which we conducted prior to a cross-national study of births in Scotland.

The methods paper in the Nursing Standard is also their most highly cited paper.  Today Google Scholar lists it with 2,035 citations, interestingly this is not the case on SCOPUS as The Nursing Standard is not listed on SCOPUS.  Researchers seem to be quoting this paper in their research methods section when they have done pilot or feasibility study for a larger-scale study.

 

 

References:

  1. van Teijlingen E, Hundley, V. (2002) The importance of pilot studies, The Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  2. van Teijlingen E, Rennie, AM., Hundley, V, Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.

New weight change BU paper

PG research, Publishing, Women's Academic Network, writing

Congratulations to Faculty of Health & Social Sciences (FHSS) PhD student Eirini-Iro Arvanitidou and two FHSS colleagues Dr. Fotini Tsofliou, and Dr. Juliet Wood who published together with Ioulia Tsatsani (Stanley Centre for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, USA) the paper ‘The effectiveness of couples’ lifestyle interventions on weight change: A systematic review and meta-analysis of Randomised Controlled Trials‘.

Iro is a PhD student and this systematic review and meta-analysis is the first to investigate the effectiveness of lifestyle interventions targeting couples on weight loss, compared to interventions focused on individuals or standard care. The findings suggest that interventions aimed at couples lead to greater weight loss, though the results should be interpreted with caution due to the wide heterogeneity among the studies. The authors conclude that further research is needed with evidence-based study designs, targeting younger participants, and incorporating intervention of longer duration, and longer follow-up periods.

Congratulations!
Prof. Edwin van Teijlingen
Reference:
  1. Arvanitidou, E. I., Tsofliou, F., Wood, J., & Tsatsani, I. (2024). The effectiveness of couples’ lifestyle interventions on weight change: A systematic review and meta-analysis of Randomised Controlled Trials. Nutrition and health, 2601060241291123. Advance online publication. https://doi.org/10.1177/02601060241291123

New BU women’s health publication

international, open access, Publishing, student research, Women's Academic Network, writing

Congratulations to Karim Khaled on the publication in the international journal Nutrients of his latest women’s health paper  [1].  The paper ‘A Structural Equation Modelling Approach to Examine the Mediating Effect of Stress on Diet in Culturally Diverse Women of Childbearing Age’ is co-authored with his PhD supervisors Dr. Fotini Tsofliou and Prof. Vanora Hundley.

This paper in Nutrients  is Open Access, hence available to read to anybody across the globe with internet access.

 

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

Reference:

  1. Khaled, K., Tsofliou, F., Hundley, V.A. A Structural Equation Modelling Approach to Examine the Mediating Effect of Stress on Diet in Culturally Diverse Women of Childbearing Age. Nutrients. 2024; 16(19):3354. https://doi.org/10.3390/nu16193354

Pregnancy & COVID-19 in UK: New study published

NHS, Women's Academic Network, writing

This morning the editor of the Frontiers in Psychiatry emailed us that the paper reporting the findings of the baseline data of a large-scale epidemiological study into pregnancy during COVID-19 in the UK has been published [1].  The interdisciplinary research team includes researchers from University Hospitals Dorset NHS Foundation Trust (Dr. Latha Vinayakarao & Prof. Minesh Khashu) and Bournemouth University (Prof. Edwin van Teijlingen). 

This longitudinal study explores how the SARS-CoV-2 [COVID-19] pandemic affected the mental health of pregnant people in the UK.  In mid-to-late 2020, we recruited 3666 individuals in the UK for the EPPOCH pregnancy cohort (Maternal mental health during the COVID-19 pandemic: Effect of the Pandemic on Pregnancy Outcomes and Childhood Health). Participants were assessed for depression, anxiety, anger and pregnancy-related anxiety using validated scales. Additionally, physical activity, social support, individualized support and personal coping ability of the respondents were assessed as potential resilience factors.

Participants reported high levels of depression (57.05%), anxiety (58.04%) and anger (58.05%). Higher levels of social and individualized support and personal coping ability were associated with lower mental health challenges. Additionally, pregnant individuals in the UK experienced higher depression during the pandemic than that reported in Canada. Finally, qualitative analysis revealed that restrictions for partners and support persons during medical appointments as well as poor public health communication led to increased mental health adversities and hindered ability to make medical decisions.

The study highlights the increased mental health challenges among pregnant individuals in the UK during pandemic. These results highlight the need for reassessing the mental health support measures available to pregnant people in the UK, both during times of crisis and in general.

Reference:

  1. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, 15 https://doi.org/10.3389/fpsyt.2024.1411761

Congratulations to BU Visiting Faculty Dr Ans Luyben

international, Publishing, writing

Congratulations to Dr. Ans Luyben on the publication of her latest midwifery article ‘How to promote midwives’ recognition and professional autonomy? A document analysis study’ [1]. This latest paper will appear in the forthcoming November issue of the international scientific journal Midwifery, published by Elsevier. 

The paper identified challenges in Belgian midwives’ recognition and professional autonomy and provided recommendations to address them, emphasizing the importance of recognized authority in midwifery. Implementing these recommendations can positively impact midwives’ recognition and autonomy in Belgium as well as in other countries.  Ans has long been affiliated with the Centre of Midwifery & Women’s Health (CMWH) as Visiting Faculty and she works in the Frauenzentrum (Centre for Women’s Health), Lindenhofgruppe, Bern, Switzerland.

Well done!

Prof. Edwin van Teijlingen

 

 

Reference:

  1. Vermeulen, J., Buyl, R., Luyben, A., Fleming, V., Tency, I., Fobelets, M. (2024) How to promote midwives’ recognition and professional autonomy? A document analysis study Midwifery, 138: 104138.  

BU e-health paper read 4,000 times

international, Publishing, Women's Academic Network, writing

Our paper ‘Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature’ [1] reached 4,000 reads on ResearchGate today.  Obviously, there is a growing interest in the use of mobile apps as well as the more general application of mHealth and eHealth in the UK and elsewhere.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Reference:

  1. Vickery, M., van Teijlingen, E., Hundley, V., Smith, G. B., Way, S., Westwood, G. (2020). Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature. European Journal of Midwifery, 4: 1-11. https://doi.org/10.18332/ejm/126625